A risk for moderate to severe violence with people both within and outside his family
Correct
Explanation:
The woman's husband belongs to the group of perpetrators who are generally violent and engage in moderate to severe violence, both inside and outside of the home, tend to meet criteria for antisocial personality disorder and are likely to have an extensive history of criminal behavior. These
perpetrators become aggressive when they misinterpret neutral and positive emotional cues as negative and when they are unable to identify expressions of fear. Another group of perpetrators, family-only perpetrators, engage in lower severity violent behaviors and exhibit the lowest levels of psychopathology. A third group of perpetrators, those with borderline personality disorder characteristics or dysphoria, engage in moderate to severe violence and demonstrate the highest levels of emotional
volatility, dependency, and psychological distress. These perpetrators have a heightened sensitivity to emotional displays that predisposes them to interpret social situations as threatening and to respond with emotional dysregulation, verbal attacks, and physical violence.
Physical neglect
Correct
Explanation:
Physical neglect is a more subtle form of maltreatment than physical maltreatment, but it can be just as damaging to a child's welfare. A
neglected child may appear unwashed, thin, and malnourished or be dressed inappropriately, such as without mittens, a coat, or shoes in cold weather. In some families, no one has a warm coat to wear or receive enough food because there is no money for these things; that is different from the family in which parents do have these things, but the children or one particular child does not. There is no evidence in this scenario of physical, sexual, or psychological maltreatment, although they could
be present.
Emotional
Correct
Explanation:
The six types of elder abuse are physical (injury by hitting, kicking, pushing, slapping, burning, and so on), sexual (unconsented sexual act), emotional (harm of self-worth or emotional well-being), neglect (failure to meet the older adult's basic needs of shelter, food, and so on), abandonment (leaving an older adult alone and no longer providing care), and financial (illegally misusing money, property,
or assets).
A 7-year-old with a spiral fracture of the humerus, which the caregiver reports was caused when the child was hit with a bat swung by a Little League teammate
Explanation:
The bones most commonly fractured in childhood are the clavicle, femur, tibia, humerus, wrist, and fingers. The classification of a fracture reflects the kind of bone injury sustained. A spiral fracture, which twists around the bone, is frequently associated with child
abuse, and is caused by a wrenching force. A greenstick fracture is one kind of incomplete fracture common in children due to incomplete ossification. When a broken bone penetrates the skin, the fracture is called compound, or open. A simple, or closed, fracture is a single break in the bone without penetration of the skin.
Flashbacks
Explanation:
Biologic indicators, such as elevated pulse and blood pressure, sleep and appetite disturbances,
exaggerated startle responses, flashbacks, and nightmares, may suggest PTSD or depression. Signs and symptoms of dissociation include memory difficulties, a feeling of unreality about oneself or events, a feeling that a familiar place is strange and unfamiliar, auditory and visual hallucinations, and evidence of having done things without remembering them.
Integration and recovery
Correct
Explanation:
During the disorganization phase, the woman
typically experiences shock, fear, disbelief, anger, shame, guilt, and feelings of uncleanliness. During denial, the woman appears outwardly composed and returns to work or school but refuses to discuss the assault and denies the need for counseling. During the reorganization phase, the woman attempts to make life adjustments by moving or changing jobs and uses emotional distancing to cope. During integration and recovery, the woman begins to feel safe and starts to trust others. She also may
become an advocate for other rape victims.
Ketamine
Explanation:
Ketamine acts on the central nervous system to separate perception and sensation. Rohypnol produces memory loss for up to 8 hours. GHB produces euphoria, an out-of-body high, sleepiness, increased sex drive, and memory loss. It may cause unconsciousness, depression, and coma. Diazepam is an antianxiety agent that causes sedation, lethargy, mild drowsiness, confusion, and
disorientation.
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